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<div class="tlr-assessment-container">
    <form class="form-horizontal">
        <div class="form-group">
            <div class="col-sm-12 tlr-split-line">
                <label class="col-sm-3 control-label">5.营养和补水</label>
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        </div>
        <div class="form-group">
            <div class="col-sm-12 tlr-split-line">
                <div style="display: block; padding: 10px;">
                    本章节关注评估对象按时准备、食用食物和补充水分事宜。
                </div>
            </div>
        </div>
        <div class="tlr-table-layout">
            <table class="table table-bordered col-sm-12" style="font-size: 16px;">
                <thead>
                    <tr>
                        <th>请在下列“我的意见”选项中选择一项</th>
                        <th>我的意见</th>
                        <th>评估人员意见</th>
                        <th>最终结果</th>
                    </tr>
                </thead>
                <tbody>
                    <tr>
                        <td>我能自己吃饭、喝水，并能自己准备食物。</td>
                        <td> <input type="radio" name="optionsRadios5_myview" id="optionsRadios" value="0"  ng-model="assessment.nutritionHydration.myview"></td>
                        <td> <input type="radio" name="optionsRadios5_assist" id="optionsRadios" value="0"   ng-model="assessment.nutritionHydration.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios5_descision" id="optionsRadios" value="0" ng-model="assessment.nutritionHydration.agreeddecision"></td>
                    </tr>
                    <tr>
                        <td>我能自己解决零食和饮水，但需要帮助每天准备熟食。</td>
                        <td> <input type="radio" name="optionsRadios5_myview" id="optionsRadios" value="1"  ng-model="assessment.nutritionHydration.myview"></td>
                        <td> <input type="radio" name="optionsRadios5_assist" id="optionsRadios" value="1"   ng-model="assessment.nutritionHydration.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios5_descision" id="optionsRadios" value="1" ng-model="assessment.nutritionHydration.agreeddecision"></td>
              
                    </tr>
                    <tr>
                        <td>我需要别人给我/协助我准备好食物和/或饮水，但我可以自己吃饭、喝水。</td>
                        <td> <input type="radio" name="optionsRadios5_myview" id="optionsRadios" value="2"  ng-model="assessment.nutritionHydration.myview"></td>
                        <td> <input type="radio" name="optionsRadios5_assist" id="optionsRadios" value="2"   ng-model="assessment.nutritionHydration.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios5_descision" id="optionsRadios" value="2" ng-model="assessment.nutritionHydration.agreeddecision"></td>
              
                    </tr>
                    <tr>
                        <td>我需要别人为我提供或准备好，或我需要别人协助我吃饭、喝水。</td>
                        <td> <input type="radio" name="optionsRadios5_myview" id="optionsRadios" value="3"  ng-model="assessment.nutritionHydration.myview"></td>
                        <td> <input type="radio" name="optionsRadios5_assist" id="optionsRadios" value="3"   ng-model="assessment.nutritionHydration.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios5_descision" id="optionsRadios" value="3" ng-model="assessment.nutritionHydration.agreeddecision"></td>
    
                    </tr>
                    <tr>
                        <td>我现在已有一名专家帮我评估营养和饮水需求。</td>
                        <td> <input type="radio" name="optionsRadios5_myview" id="optionsRadios" value="4"  ng-model="assessment.nutritionHydration.myview"></td>
                        <td> <input type="radio" name="optionsRadios5_assist" id="optionsRadios" value="4"   ng-model="assessment.nutritionHydration.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios5_descision" id="optionsRadios" value="4" ng-model="assessment.nutritionHydration.agreeddecision"></td>
    
                    </tr>
                    <tr>
                        <td>我每天需要三次以上协助完成个人护理。</td>
                        <td> <input type="radio" name="optionsRadios5_myview" id="optionsRadios" value="5"  ng-model="assessment.nutritionHydration.myview"></td>
                        <td> <input type="radio" name="optionsRadios5_assist" id="optionsRadios" value="5"   ng-model="assessment.nutritionHydration.assessorview"></td>
                        <td> <input type="radio" name="optionsRadios5_descision" id="optionsRadios" value="5" ng-model="assessment.nutritionHydration.agreeddecision"></td>
    
                    </tr>
                </tbody>
            </table>
        </div>
        <div class="tlr-form-layout">
            <div class="form-group">
                <label for="exampleInputEmail1">营养和补水记录</label>
                <textarea class="form-control" rows="9" ng-model="assessment.nutritionHydration.notes"></textarea>
            </div>
            <div class="form-group">
                <div class="col-sm-9">
                    <input class="btn btn-default" style="float: right;" type="button" value="下一页" ng-click="nextPage(6)">
                    <input class="btn btn-default" style="float: right; margin-right: 30px;" type="button" value="上一页" ng-click="prevPage(4)">
                </div>
            </div>
        </div>
    </form>
</div>
